Electrostimulation device arranged for electrostimulation on a user and installation

Abstract

The system comprises the electrostimulation device (100), which includes a plurality of electrodes (1), a generator (10) controlled by a computer (20), and software (30). The computer (20) includes at least one memory (40) containing user-related data. The generator (10) includes a plurality of excitatory pathways (11), each connected to a cable (12) carrying a plurality of electrodes (1), arranged to control the transmission of excitation signals to the various excitatory pathways (11). The electrostimulation device (100) is configured for electrostimulation of a user of large build. The Installations include an electrostimulation device (100).

Description

[0001] [The present invention relates to a means of maintaining muscle mass for a user of heavy build during the caloric restriction phase.

[0002] Traditionally, several methods are known for weight loss, including surgical procedures such as liposuction, taking medication, often anti-diabetic drugs, exercises with gym equipment, and the use of electrodes.

[0003] These methods have limitations or drawbacks.

[0004] Liposuction causes skin laxity and bruising for up to three weeks. It's a devastating procedure for the body. Besides these drawbacks, liposuction has the limitation of being ineffective in the long run. Indeed, it is followed up after a certain period of time once the original weight has returned.

[0005] Anti-diabetic medications, developed for the treatment of type 2 diabetes, include the drug Ozempic, which can greatly improve the daily lives of people living with this condition. However, another effect is attracting the attention of the public and pharmaceutical companies: by slowing the rate at which the stomach empties and directly influencing the feeling of fullness. According to a 2021 study published in the New England Journal of Medicine, Ozempic resulted in an average weight loss of 14.9% in overweight or obese patients who also made lifestyle changes. Unfortunately, such weight loss often leads to a loss of muscle mass, a gradual decline in muscle mass and strength that occurs with aging. This is why it is essential to maintain a sufficient protein intake and engage in regular strength training alongside weight loss.

[0006] This method falls into the category of reducing calorie intake and presents disadvantages of the same nature as diets and good nutrition.

[0007] A question arises: what does it mean to eat well? There is no true definition of a good diet. The universal example of dietary heterogeneity is that of breakfast.

[0008] However, eating well means eating minimally processed foods. This requires cooking. The calorie reduction is measurable.

[0009] It is necessary to prevent the risk of malnutrition.

[0010] Age, illness, or medical treatments can cause a loss of appetite or taste, leading to a risk of malnutrition. Weight loss and a decrease in muscle mass may then occur. To avoid any risk of malnutrition, it is important to maintain sufficient food intake spread over three meals a day.

[0011] The origin of these incontinent individuals lies in the fact that muscle mass protects against disease. It limits the impact of poor diet.

[0012] Thus, a free-falling decrease in muscle mass is pathogenic.

[0013] Another limitation is that if weight loss is rapid, the skin sags (apron effect).

[0014] Diet alone will not lead to lasting weight loss.

[0015] To achieve this, a balanced diet must be combined with muscle activity, often regular physical activity, to help prevent excess weight and avoid several conditions or risks that become more common with age. These include diabetes, high blood pressure, high cholesterol, osteoporosis, memory problems, and constipation.

[0016] To get regular physical activity, the user is familiar with gyms.

[0017] A weight room has the following characteristics and limitations: • Equipment and apparatus for working the muscles. • No balance between agonist and antagonist muscles: risk of injury. • Requires numerous repetitions and a high frequency. • Intensity is necessary, but difficult to control and sometimes impossible depending on the patient's physical and physiological condition. • Lack of consistency in duration and repetition: risk of demotivation due to fatigue and loss of effectiveness, significant lactate accumulation.

[0018] Recent work suggests that it is useful to clearly distinguish the two phases of treatment for excess weight (the weight loss phase and the weight stabilization phase) in terms of therapeutic means (diet and physical activity).

[0019] Weight loss strategies are fairly well understood, but weight stabilization after weight loss remains a difficult problem.

[0020] However, research has shown that 20% of overweight people have succeeded in losing weight in the long term when it is defined as a loss of at least 10% of the initial body weight and for a maintenance of the loss for at least 1 year. (Wing & Phelan, 2005).

[0021] Management strategies are most effective when they are multifactorial and act at several behavioral levels. Currently, it appears that the combination of calorie restriction and increased physical activity is the most effective for maintaining long-term weight loss (Stiegler & Cunliffe, 2006). In the short term, of these two factors, calorie restriction remains the most effective intervention for correcting excess fat mass, but muscle exercise helps maintain lean mass, thus promoting long-term weight loss (Curioni, Lourenço, Int J Obes (Lond) 2005).

[0022] It is important to understand that calorie restriction leads to muscle loss of up to 30% of total body weight, compared to 12% if a diet is combined with an endurance program (Ballor and Poehlman 1994), and especially compared to 0% if a combination of calorie restriction and aerobic / strength training is performed together (Kraemer et al.).

[0023] Despite a consensus on the effective modalities of physical activity for maintaining long-term weight loss (consensus for 45-60 minutes per day of moderate intensity, i.e., between 3 and 6 METs, versus 30 minutes of brisk walking per day (Saris, 2003)), there is evidence in the literature to suggest that more intense exercise programs induce greater benefits; indeed, the role of intensity should be emphasized rather than the volume of physical activity (Gutin et al., 2002).

[0024] Calorie restriction must be accompanied by muscle development. This requires intensity, meaning muscular endurance (aerobic) exercise, or cardio. But gaining muscle mass is not the same as building muscle.

[0025] Furthermore, it is important to highlight the various constraints associated with overweight and obesity in the context of sports activity and muscle development. Indeed, difficulties with movement, increased fatigue, shortness of breath, and cardiovascular, respiratory, metabolic, musculoskeletal, and rheumatic complications are all factors that hinder continuous physical activity, while also negatively impacting body image and self-esteem, raising the question of using new alternatives to physical activity.

[0026] Thus, given the cardiovascular, respiratory and osteoarticular complications of overweight or obese patients when resuming physical activity and its importance in maintaining muscle mass, it seems interesting to be able to provide physical assistance capable of reproducing effects similar to APS (physical and sporting activity) as electrostimulation would do (Banerjee et al. 2005)37 on energy expenditure (Hsu, Wei, Chang. 2011).

[0027] Muscle mass is measurable.

[0028] The invention aims to overcome these drawbacks. The basis of the invention lies in the fact that, despite scientific progress, no device currently exists capable of providing comprehensive, rapid, and lasting muscle regeneration. Existing devices (as internally known to the applicant) are designed to be ineffective, particularly for overweight individuals or for treating specific body parts. Furthermore, these devices remain technologically complex, resulting in significantly higher costs.

[0029] The invention relates to a system comprising electrostimulation electrodes called integral or whole body EMS, their means of supplying in particular direct supply and the implementation of the method of using the electrostimulation system.

[0030] Firstly, the invention relates to an electrostimulation device.

[0031] The present invention aims to bring about a major breakthrough in the pursuit of health maintenance and prevention of age-related muscle loss. It makes the management of overweight individuals during their calorie restriction phase accessible and effective, thus affecting a significant number of people, by using a novel combination of ultrasound and EMS Stabile.

[0032] Electrostimulation is based on the principle of placing electrodes on all the muscles, causing them to contract involuntarily but regularly and effectively. It mobilizes more than 400 muscles simultaneously for 20 minutes, with no movement required, depending on the level (push-ups, planks, squats, etc.).

[0033] For the electrodes the invention uses silicone and especially "type electrodes" in conductive TPE; model with single size electrodes, RFID model with electrode sizes and integrated software.

[0034] The invention aims to achieve 100% contraction of the muscle group. To this end, it is: placed an electrode per muscle group / according to the morphology, obtained simultaneous work of the agonist and antagonist muscles, a pulse wave: excitomotor current + pain-relieving current (tens), used the connected electrodes: knowledge of the power delivered specific to the S 2< of the electrode, used electrode setups adapted to overweight or obese people.

[0035] The table below presents the design and characteristics of the EMS electrodes according to the invention: Designation Dimensions Area Mass (estimated) (Width x height x thickness) HTC-ELEC-192 160 x 120 x 2 mm 192 mm 2< 50 g

[0036] Electrostimulation is measurable in its frequency and amplitude. The goal is to produce pulse waves with the highest possible amplitudes.

[0037] An amplitude of 85 Hz of the machine's capabilities is effective in muscle development and muscle fiber conversion.

[0038] Firstly, the invention relates to an electrostimulation device arranged for electrostimulation on a user of heavy build, having a body mass index greater than 26 to 32 kg / m², a waist circumference greater than 108 cm, a mass greater than 100 kg, said electrostimulation device comprising a plurality of electrodes.

[0039] To solve the above technical problems, the electrostimulation device according to the invention comprises a generator controlled by a computer and software means, said computer comprising at least one memory containing data relating to said user predefined by a prior examination, said generator comprising a plurality of excitomotor channels, each attached to a cable carrying a plurality of said electrodes, and being arranged to control the sending of simultaneous or separate excitation signals to the different excitomotor channels.

[0040] Depending on other characteristics of said electrostimulation device: each said cable has a minimum length of 120 to 150 cm; at least one said electrode comprises a conductive thermoplastic elastomer sheath, which includes at least one RFID chip arranged for the identification of said electrode;

[0041] The invention also relates to a physical culture installation, comprising at least one piece of equipment or a muscle exercise machine or an exercise mat, and comprising at least one electrostimulation device according to at least one of the characteristics described above.

[0042] The invention also relates to a relaxation installation, comprising a seat or a layer to support the user, and comprising at least one electrostimulation device according to at least one of the characteristics described above.

[0043] The invention will be better understood upon reading the figures given by way of non-limiting examples, in which:

[0044] There Fig. 1 schematically represents, viewed from above, an electrostimulation device according to the invention comprising a support structure, a generator, software means, cables and electrostimulation electrodes.

[0045] There Fig. 2represents, seen from the front and 3 / 4 above, a casing, apparatus of the electrostimulation device according to the invention comprising a generator having a plurality of excitomotor channels with eight means of connection to cables carrying said electrodes, having four means of adjusting the intensity.

[0046] There Fig. 3 represents, seen in elevation, the housing of the electrostimulation device according to the invention, comprising eight means of connection to cables and comprising four means of adjusting the intensity and a so-called Bluetooth antenna.

[0047] There Fig. 4 See top view of the conductive thermoplastic elastomer casing of an electrostimulation electrode which includes an RFID chip.

[0048] There Fig. 5represents, seen in elevation, the system with a device comprising identical and interchangeable electrostimulation electrodes connected in pairs on cables according to the invention, in operation in a variant of electrode placement on the user.

[0049] There Fig. 6 is a functional diagram of the measurements taken with a reference device during the tests of the invention.

[0050] THE Figures 1 to 5Regarding a device, these represent an electrostimulation device 100 designed for electrostimulation on a user of large build, with a body mass index greater than 26 to 32 kg / m², a waist circumference greater than 108 cm, and a mass greater than 100 kg. Said electrostimulation device 100 comprises a plurality of electrodes 1. The electrodes 1 form a sheath, a means of delivering current to the patient's body for electrostimulation. Said electrostimulation device 100 comprises a generator 10 controlled by a computer 20 and software 30. Said computer 20 comprises a memory 40 containing data relating to said user, predefined by a prior examination. Said generator 10 comprises a plurality of excitomotor channels 11, each attached to a cable 12 carrying a plurality of said electrodes 1.The generator 10 is arranged to control the transmission of simultaneous or separate excitation signals to the various excitatory pathways 11. Each cable 12 has a minimum length of 150 cm. At least one electrode 1 has a conductive thermoplastic elastomer sheath, which includes at least one RFID chip 2 arranged for the identification of the electrode 1. At least one carrier structure 50 is flexible and spongy, and includes humidification means 70. The electrostimulation device 100 includes at least one carrier structure 50 forming a belt, armband, sheath, or sleeve, said at least one carrier structure 50 being arranged to be slipped onto a limb or the user's body and to carry at least one electrode 1 in immediate contact with the user's body. At least one cable 12 carries an even number of electrodes 1.At least one of the support structures 50 comprises a plurality of housings allowing diametrically opposed positioning of the two electrodes 1 around a limb or the user's body and / or comprises inflation means for tightening it around the user. At least one of the support structures 50 comprises means for holding it in position around a limb or the user's body, and at least one self-gripping fabric strap, so that the electrodes are fixed, centered, and balanced. The generator 10 comprises several intensity adjustment means 60, typically dials, each arranged for simultaneous intensity control on at least two of the excitatory pathways 11, each intensity adjustment means 60 being independent and adjustable independently of the other intensity adjustment means 60.In one embodiment, the housing of device 100 is provided with four buttons for adjusting intensity, frequency, amplitude, etc.; the eight connections for cables 12 are divided into two. Two means are applied to the device: an RFID reader 2 and a Bluetooth antenna 3.

[0051] The RFID reader 2 allows identification of the electrodes 1 dedicated to the device and specially designed to deliver the appropriate current amplitude and frequency

[0052] The Bluetooth 3 antenna allows the device to connect to software

[0053] Said generator 10 is arranged to deliver, in each said electrode 1, a current of intensity less than or equal to 100 mA and to manage, for each said excitomotor channel 11 at least 100 pulse trains of frequency between 80 Hz and 120 Hz separated temporally by phases without pulse.

[0054] Each said electrode 1 has a larger surface area, arranged to come into contact with the user, which is less than or equal to 100 cm².

[0055] The electrostimulation device 100 includes a safety shut-off triggered by a timer limiting the operating time to 20 minutes, or by an action of the user. The generator 10 includes at least eight excitatory pathways 11, each connected to at least four electrodes 1.

[0056] THE Figures 5 And 6 represent in operation according to the invention the system comprising identical and interchangeable electrostimulation electrodes 1 connected to cables 12. The electrodes 1 are on the user to obtain a reduction in fat mass, producing electrostimulation in parallel with the caloric reduction.

[0057] One difficulty is that muscle mass protects against disease. It limits the impact of poor diet. If weight loss is rapid, the skin sags. Thus, a freefall in muscle mass is pathological.

[0058] The objective is to achieve, during the same electrostimulation time, a conversion of type 2B muscle fibers to type 2A, maintenance of muscle mass and preservation of skin elasticity.

[0059] The assembled electrostimulation device 100 includes fabric straps that hold the electrodes 1 in place, ensuring electrode 1 adherence to the body. The electrode 1 sheath comprises a conductive medium embedded in a substrate material, a connection medium, and a transmission medium to the patient's body. The entire assembly is placed in a moistened sponge electrode sheath for optimal contact with the patient's body. The assembled electrostimulation device 100 further includes at least two to four electrodes 1. The electrodes 1 are made of conductive TPE material comprising a thermoplastic elastomer, also known as thermoplastic rubber. At least two electrodes 1 are attached to the patient, along with the TPE material and the body substrate, and a fiber layer between the conductive silicone material and the non-conductive silicone material. The TPE in the sheath of the invention is conductive, more malleable (for molding), and has a higher resistance in ohms.It allows for several conductivity ranges. Carbon improves conductivity in the polarization function.

[0060] The disadvantage of silicone in known electrodes is the risk of allergies.

[0061] Doubling the surface area of ​​electrode sheath 1 addressed a problem (the need for greater amplitude with increasing body size). However, this approach encounters a constraint inherent in natural law. An electrode surface of 10 cm² results in an effective contraction, while a surface of 100 cm² results in an ineffective contraction. Experience has shown that this is insufficient. In the invention, each cable 12 splits to connect two to four electrodes 1, depending on the patient's body size. The invention provides for the use of small to medium-sized electrodes 1, which are doubled according to the user's body size.

[0062] Resuming physical activity, as well as preventing injuries, relies heavily on the proper functioning of the agonist / antagonist relationship between muscle groups. Muscle balance is a crucial concept in injury prevention.

[0063] One of the main causes of this muscle strength imbalance is the sport itself. Indeed, it involves the repetition of movements that result in the strengthening of the effector (agonist) muscles.

[0064] Therefore, antagonistic muscles that are not used much will not be able to develop strength at the same rate as the agonist without specific strengthening work.

[0065] The previous injury remains a concern. The antagonist is a key element of performance, always highly exposed in APS

[0066] The antagonist also plays a crucial role in any sporting movement involving speed (Jaric et al., 1997). If its tension were not applied during the movement at full speed, damage to the joint would be significant and unavoidable.

[0067] For example, in football, the main muscles used for the leg that strikes the ball are the psoas and quadriceps. Antagonistic muscles, such as the hamstrings, provide stability to the knee joint upon contact with the ball. This prevents the knee from being subjected to the mechanical stresses imposed by the ball's reaction. Furthermore, these muscles also prevent hyperextension of the knee at the end of the movement, thus protecting the meniscus and cruciate ligaments. Muscle imbalance at the heart of injury prevention. The agonist / antagonist ratio: a given for the trainer.

[0068] However, it seems impossible to ignore the role of the imbalance in muscle strength between agonist and antagonist muscles. This imbalance can indeed cause injuries to the musculoskeletal system, and even lead to accidents or musculoskeletal and joint pathologies.

[0069] It seems difficult to believe that an imbalance of strength between the quadriceps and the hamstring would have no consequences on the stability or mechanics of a joint such as the knee.

[0070] An example of local injury prevention: The agonist-antagonist pair of the knee

[0071] Even though the ligamentous structure provides much of the stability to this joint, the knee is subjected to significant stress during activity. It can only withstand this stress with the help of the surrounding muscles.

[0072] These antagonistic muscles therefore play a crucial role in the stability of the joint. But their role is primarily focused on maintaining a proper balance of the stresses applied to it. This is even more true in the case of the shoulder. Indeed, the majority of its stability is due to the presence of strong muscles surrounding the entire joint.

[0073] Similarly, there is a theoretical basis for alternating antagonistic muscle exercises to positively impact muscle development. In a 2005 study by Dr. Dean Baker, 24 rugby players, divided into an experimental and a control group, were asked to perform a power test on a flat bench. The experimental group alternated the primary movement with a pulling exercise targeting the muscles antagonistic to those trained on the flat bench. The results showed that muscle power increased by 4.7% in the experimental group, while no change was observed in the control group, reinforcing the importance of training both muscles in the antagonist group to develop muscle power.

[0074] The harmful consequences of deconditioning PHYSIOLOGICAL

[0075] Firstly, deconditioning leads to a decrease in energy expenditure, therefore a decrease in muscle tone and strength. Then, in parallel, there is a decrease in aerobic capacity (basic endurance) because the heart is also a muscle. This situation often leads to weight gain (fat mass), which in turn increases the risk of hypertension. PSYCHOLOGICAL

[0076] This imposed sedentary lifestyle can lead to depressive symptoms: anxiety, stress, chronic fatigue, decreased motivation, nutritional disorders, sleep disturbances, irritability... Concentrations of endorphins, adrenaline and melatonin are altered, disrupting the circadian rhythms that condition us.

[0077] The invention seeks balance through agonist and antagonist muscles.

[0078] In an alternative embodiment, the device of the invention has: a) Electrodes 1 are positioned in sheaths made of spongy material (multiple body substrates). A fabric material allows the sponges 2 and electrodes 1 to be strapped to the user's body. Advantage of the spongy material 2: it increases conductivity (the sponges are moistened) and improves involuntary muscle contraction by reducing the resistance of body fat and promoting better contact between electrode 1 and the surface of the body substrate. b) At least one electrode per sheath (substrate). The sheath contains either a single electrode 1 or a double electrode 1, depending on the body substrate's size.

[0079] According to one embodiment of the invention: a) The invention seeks, in parallel with caloric restriction, to achieve effective muscle contraction. EMS allows for repetition. At least 100 contractions are necessary. Weight loss depends on the amplitude and frequency. The objective is the highest possible intensity. The invention has several electrode enclosures (electrode + sponge sleeve + connection). This allows it to adapt to the patient's body size (doubling the surface area). The sponge is flexible and conforms to the body's contours. b) Specific electrodes 1, measuring 8 cm x 12 cm, contain an RFID reader 2, allowing verification of the conformity of the electrodes 1. The TPE material allows the RFID reader 2 to be contained within the electrode enclosure. This allows the device to ensure that the electrodes 1 in use are indeed intended for its use. This is a safety feature. If non-conformity is detected, the device will not function.c) The EMS 100 device is a metal casing with eight output channels (allowing for multiple channels). It is designed to accommodate a wire with a choice of two to four electrodes. This allows the device to work on several muscle groups. Gainer is a muscle tetany. In the EMS stabile, the patient is in a supine position. d) Dedicated software communicates with the device via Bluetooth technology. It includes a display screen, Bluetooth antenna, four adjustment buttons, eight outputs, and an RFID reader. f) The electrodes are set identically for agonist and antagonist muscles. g) At least two body substrates for electrodes (two sponge sleeves are sewn side by side). A single electrode is placed in one sponge sleeve. The two sleeves are sewn together.

[0080] This prevents too large a gap or overlap between the two electrodes 1

[0081] The wet sponge acts as a conductive element, conforming to the body's surface. The conductive TPE is rigid, which limits contact with the patient's body. Several groups of substrates

[0082] The invention works several muscle groups at the same time.

[0083] The electrically connected electronic unit enables consistent repetition over time, meaning involuntary repetition. The machine determines this. It involves the programmed repetition of one or more involuntary muscle contractions at an intensity adjustable by the operator and set to maximum using a combination of TENS and excitatory currents. This is done to maintain, increase, or build muscle mass during a weight loss phase, including a calorie restriction phase.

[0084] The EMS curve features an excitatory motor current (desired for fat loss) and a TENS current (reduces pain).

[0085] The amplitude is variable from 0 to 120 hertz. Effectiveness starts at 85 hertz or higher. The RFID reader 2 identifies the electrodes 1 dedicated to the device and specially designed to deliver the appropriate current amplitude and frequency. The Bluetooth antenna 3 allows the device to connect to software 30

[0086] The invention aims to maintain muscle mass. A free loss of this muscle mass is pathogenic.

[0087] Muscle mass limits the impact of poor diet.

[0088] The invention relates to a system comprising electrostimulation electrodes 1 called EMS, their means of supplying in particular direct supply and the implementation of the method of using the electrostimulation system.

[0089] The basis of the invention lies in the fact that, despite scientific advancements, no device currently exists capable of providing comprehensive, rapid, and lasting muscle regeneration. Existing devices (as internally known to the applicant) are designed to be ineffective, particularly for overweight individuals or those with specific body parts. Furthermore, these devices rely on complex technology, resulting in significantly higher costs.

[0090] The present invention aims to bring about a major breakthrough in the pursuit of health maintenance and prevention of age-related muscle loss. It makes the management of overweight individuals accessible and effective, thus affecting a significant number of people, by using a novel combination of ultrasound and EMS Stabile.

[0091] Electrostimulation is based on the principle of placing electrodes on all the muscles, causing them to contract involuntarily but regularly and effectively. It mobilizes more than 400 muscles simultaneously for 20 minutes, with a few or many movements depending on your fitness level (push-ups, planks, squats, etc.). For the electrodes, the device is made of silicone, and especially of conductive TPE (tissue-based electrode type 1); models are available with two sizes of electrodes, and RFID models with different electrode sizes and integrated software.

[0092] The invention aims to achieve 100% muscle group contraction. To this end, an electrode 1 is placed per muscle group / according to the morphology, simultaneous work of the agonist and antagonist muscles is obtained, a pulse wave: excitomotor current and pain-relieving current (tens), the connected electrodes 1 are used with power delivered specific to the S 2< of electrode 1 and electrode 1 sizes are used corresponding to overweight or obese people.

[0093] The RFID software (30) collects the intensity and amplitude data, enabling the "standard" conductive TPE electrodes (1) to be powered according to the patient's body size. The electrostimulation device (100) includes jack-type connectors for four identical and interchangeable stimulation cables (12), each of which connects four electrodes (1) of the same size via banana plugs (one wire connected to two electrodes (1)). The stimulation cables (12) must have a minimum length of 1.20 m to 1.50 m to reach the lower and upper limbs and are compatible with electrodes (1).

[0094] The method for implementing device 100 falls within the scope of the invention

[0095] In contrast to the invention, gym activity has significant disadvantages such as the risk of working only one muscle.

[0096] Now, here, the device according to the invention allows the agonist muscle and the antagonist muscle to be worked by placing one or more electrodes 1 on the antagonist muscle and the same number of electrodes 1 on the antagonist muscle and by supplying the electrodes 1 with the same power and frequency.

[0097] Working only one muscle in the gym risks leading to accidents and injuries.

[0098] Furthermore, strength is not constant because fatigue occurs during weight training.

[0099] However, here, the device according to the invention makes it possible to maintain constant energy in the electrodes 1 over the duration of the treatment.

[0100] The novelty of the invention is that it adapts to different individuals with different body shapes.

[0101] But grease causes electrical losses, losses

[0102] Given that significant body fat slows down the current, it is important to use several electrodes rather than one larger electrode.

[0103] The larger the person, the more electrodes are placed (1).

[0104] The device allows the use of thirty-two electrodes 1, enabling the treatment of several muscle groups; four electrodes 1 are connected to the same branch. The device, with eight outputs or excitomotor channels 11, from four branches of four electrodes 1, achieves thirty-two electrodes 1.

[0105] In the current state of the art, the entire circuit is at the same level of similar intensity, therefore there is no adaptability, homogeneous frequency and amplitude, and no stability in the processing.

[0106] If we take an agonist muscle like the biceps, there is not necessarily work on the antagonist muscle, the triceps in this case, and we can have the same reasoning with the abdominal and back muscles or the thigh with the quadriceps and the hamstrings.

[0107] As we have seen, in gyms we sometimes only work one of these muscles, which increases the risk of injury. The advantage of electrostimulation according to the invention is that it achieves homogeneous stimulation, which, with the current state of the art, can at best be partially achieved.

[0108] It is not possible to exceed 100 milliamperes for a person.

[0109] The device is visually a box. This box is equipped with an RFID reader 2 and a Bluetooth connector; the Bluetooth connector has an external antenna 3.

[0110] This casing serves an ecological purpose; its shape is important, eliminating the need for a plastic mold and allowing for future upgrades without altering its structure. The metal casing offers ample space, accommodating at least eight output channels and allowing for the addition of more. It can accept wires with four electrodes each. Therefore, the frequency and amplitude are identical, ensuring consistent intensity and targeting both agonist and antagonist muscles. The device should be used with at least two electrodes, meaning a minimum of one above and one below.

[0111] The device according to the invention allows the agonist muscle and the antagonist muscle to be worked by placing one or more electrodes 1 on the antagonist muscle and the same number of electrodes 1 on the antagonist muscle and by supplying the electrodes 1 with the same power and frequency.

[0112] Working only one muscle group at the gym can lead to accidents and injuries. Furthermore, strength gains are not constant because fatigue sets in during weight training.

[0113] In contrast, the device according to the invention makes it possible to maintain constant energy in the electrodes 1 over the duration of the treatment.

[0114] The device, which allows the use of thirty-two electrodes 1, enables the treatment of several muscle groups; four electrodes 1 are connected to the same branch.

[0115] One advantage of the invention is its adaptability to different individuals with varying body shapes. Fat causes electrical losses; a significant amount of fat slows the current, so it is important to use several electrodes rather than one larger electrode.

[0116] The device with eight outputs of four connections of four electrodes 1; i.e. thirty-two electrodes 1 allows for the placement of more electrodes 1, the larger the person,

[0117] With current technology, the entire circuit operates at the same intensity level, resulting in a lack of adaptability, consistent frequency and amplitude, and treatment stability. For example, if we consider an agonist muscle like the biceps, the antagonist muscle, such as the triceps, isn't necessarily being worked. The same principle applies to abdominal and back muscles. In gyms, only one of these muscles is sometimes targeted, increasing the risk of injury. The advantage of electrostimulation according to this invention is its ability to achieve uniformity.

[0118] It is not possible to exceed 100 milliamperes for a person.

[0119] The invention aims to provide a comprehensive fitness program combining physical and physiological nutrition. The issues addressed are based on the themes of weight management, health prevention, and healthy aging. The system according to the invention is suitable for supporting the management of numerous conditions: chronic diseases, type 2 diabetes, overweight / obesity, hepatic steatosis (NASH), circulatory problems, dyslipidemia, cardiovascular diseases, sleep apnea, hormonal imbalances, localized fat deposits, body shape, prevention of aging (sarcopenia), postpartum recovery, post-bariatric surgery recovery, and addictions. Muscle strengthening is also included.

[0120] The structure of the system of the invention is illustrated below. Development of the electrostimulation device. Adaptation to the body surface of: the intensity, frequency, and mounting of the electrostimulation electrodes (which itself is adapted to the specific target audience). The extensions of the devices of the system according to the invention can be connected to each other to adapt to the morphology of the target individual. The system according to the invention achieves this adaptation with different electrodes. Hence, the system comprises different versions of cables to adapt to the different electrodes.

[0121] The electrodes are made of silicone and are primarily "type 1" electrodes made of conductive TPE. Even if different versions of the power supply housing are used, apart from the brand name printed on the device, the housing itself will be the same.

[0122] The stimulation system according to the invention comprises different versions of devices100, either a model with electrodes 1 in two sizes or an RFID model with three sizes of electrodes 1 which are equipped with integrated software 30.

[0123] Using software specific to electrodes 1. Evaluation of existing tests: Data is taken every second (in real time) to adapt the curves to the patient's needs. Development of an ultrasound device. Two key features: Consistently homogeneous intensity.

[0124] A device with 100 functional requirements. Eight-channel unit: Consists of a stimulation unit with four channels, each powering four electrodes. Electrical specifications: Powered via a CE-compliant plug to a 100-240V 50 / 60Hz mains supply. Cable connections: Receives the jack-type connectors for four identical and interchangeable stimulation cables, each with four identical-sized electrodes connected to banana plugs (1 cable = 2 electrodes). The stimulation cables must have a minimum length of 1.5 meters to reach the lower and upper limbs. Standard electrodes are compatible with CE-compliant EMS electrodes to be applied to the user's skin in the following positions: - Classic female - Classic male - Gynoid - Android - Triceps

[0125] In the system according to the invention, the stimulation unit is compatible with the 1 silicone Graphite electrodes known as GymnaUniphy, 80 x 120 mm with 2mm female banana plug + 4mm adapter to compensate for fragility.

[0126] The method according to the invention for implementing the operating method below comprises the following steps: - connect power adapter, - select electrode 1; - connect electrode 1 cords, - connect electrode 1, - position electrode 1 on user skin area, - turn unit on (ON / OFF), - select treatment duration, - gradually increase the output energy (intensity) to reach the appropriate value, - wait for the end of the program time (stop), - turn off device, - remove electrode 1, - unplug and store the components.

[0127] Main use of the operating phase of the process: - connect power adapter - connect electrode leads 1 - connect electrode 1 - position electrode 1 on user skin areas - switch unit on (ON / OFF) - select treatment duration - gradually increase the output energy (intensity) to reach the appropriate value - wait for the program time to end (shutdown) - switch off the device - remove electrode 1 - unplug and store the components.

[0128] For the purpose of muscle electrostimulation, the electrical muscle stimulation system integrates EMS 30 software. In the invention, stable / involuntary EMS devices are used as part of the fitness and weight loss treatments of its clients.

[0129] According to the invention, the stable / involuntary EMS device 100 is used in aesthetic treatments to maintain or develop muscle mass in underdeveloped or declining areas of the adult client's body, while reducing fat mass and improving skin texture (cellulite and firming) during weight loss.

[0130] One aim of the invention is to send electrical impulses to the muscles of targeted areas to stimulate them during sessions of predefined duration.

[0131] Objectives: (what the system must do and its performance, conditions and possible constraints) - eight-channel electrostimulation devices for sixteen electrodes 1, for a total of sixteen devices; - operating with consumables with, subsequently as an option, electrodes 1 of specific size - Manual buttons - one wire connects two electrodes 1 (2 mm banana) - the pairs (channels) are managed four by four therefore four management buttons (increase homogeneously, rather + / - button) + a main on / off button + intensity display by number or graph (no touch screen) color TFT screen gen4-ulcd-5DD1 or bar graph; - rather wide - long casing for positioning; - measured intensity: plan higher (new generation) for some customers.

[0132] Definition of the context of the stimulation device 100 according to the invention: The life cycle diagram of the stimulation device 100, that is to say, the process covering the phases from its creation to its disposal (e.g., needs, requirements, design, development, verification, validation, installation, operation, maintenance / updates, end of life, etc.). Design - Development - Industrialization - Safety testing - CE marking - Production (Control - Labeling - Packaging - Release) - Storage - Transport - Training - Use - Maintenance - Disposal

[0133] The 100 stimulation device is adapted to elements of the external environment (other than people) which can influence the system (equipment: technologies, energies, soil, implantation ..., materials: inputs and outputs of materials, fluids ..., environment: dust, heat, waste reprocessing ..., estimate: costs, aesthetics, ...): - electrical network 100-240VA 50 / 60Hz - electrodes 1 (x4 packs of 4) - user's skin - fitness center environment - aesthetics - possibility of use (button interface) - CE regulations and standards.

[0134] For each lifecycle phase where services from the device are expected (e.g., operation / use phase and maintenance phase), the system considers the use cases (sequences of use) and the stakeholders involved. The system's primary function is in the main use case of the operation phase. Specifically, the use (muscle electrostimulation session): - connect the power adapter - connect electrode leads - connect electrodes - position electrodes on the user's skin - turn the unit on (ON / OFF) - select the treatment duration - gradually increase the output energy (intensity) to reach the appropriate value - wait for the programmed time to end (stop) - turn off the device - remove electrodes - unplug and store the components.

[0135] For each identified use case, the main use case scenario of the device 100 (and alternative where applicable), i.e. the sequences of actions of the user, another stakeholder or of the system (system inputs and outputs) enabling the use case to be carried out, i.e. the "where" and the "when", or refer to the relevant document.

[0136] The scenario varies according to: - user's sex (influencing the areas to be stimulated); - body size (influencing the size of the electrodes 1); - areas stimulated (the points are known by the inventor); - session durations; - output intensity.

[0137] Each use case of device 100 entails specific needs (the objectives associated with the use case / functional requirement, in terms of performance, operational aspects, interfaces – see: typologies of non-functional requirements below):

[0138] In the tests, the constraint requirements (for each external element, the context has led to the constraints of that element) are presented from octopus-type environment / context diagrams.

[0139] The Stimulation Device 100 meets the requirements of consisting of a stimulation unit with four channels, each powering four electrodes 1; it is powered via a CE-compliant plug to a 100-240V 50 / 60Hz mains supply; it accepts connections (jack type) for four identical and interchangeable stimulation cables 12, each of which connects four electrodes 1 of the same size via banana plugs (one cable = two electrodes 1). The stimulation cables 12 must have a minimum length of 1.20 meters to reach the lower and upper limbs. The Device 100 is compatible with CE-compliant electrodes 1 dedicated to EMS, to be adhered to the user's skin in the following positioning zones (points provided by the customer): - Classic female - Classic male - Gynoid - Android - Triceps.

[0140] The 100 stimulation device is compatible with 1-inch graphite silicone electrodes, 80 x 120 mm, with a 2 mm female banana plug and a 4 mm adapter to compensate for their fragility. It features a manual control system including: four "+ / -" dials for managing the intensity of electrical pulses 60 a main on / off button (power ON / OFF) a treatment duration selection button.

[0141] The Stimulation Device 100 features a Gen4-ULCD-5DD1 color display system with an LED bar graph and seven-segment display. It is tamper-proof (it must not be able to be opened without specific tools). The Device 100 also includes overcurrent protection.

[0142] The following EMS specifications are achieved (measurements taken on a device with a GymnaUniphy Graphite silicone electrode, 80 x 120 mm with a 2mm female banana plug): Pulse output power / channel = 90 V x 80 mA = 7.2 VA (or W) Single output frequency = 2.7 kHz Pulse durations Pulse shape = square Pulse type = compensated

[0143] The Stimulation 100 device allows you to adjust the output duration (EMS session) by pressing the + / - button, in 1-minute increments, from 0 to 99 minutes. It also prevents the timer from being changed after the EMS session has started. In this case, the session can be ended by reducing the output energy to 0 and then switching off the power button (OFF). Otherwise, the stimulation stops automatically when the timer expires. The output current must be adjusted for each of the four channels using the + / - knob in increments of 1% of the maximum value (90 V x 80 mA = 7.2 VA (or W)) from 0 to 100% (compliant with standard EN 60601-2-10 → 201.12.1.101). The adjustment increment must not exceed 1 mA or 1 V, and at the minimum setting, it must not exceed 2% of the value available at the maximum setting. The EMS output can be stopped by pressing and holding the current adjustment knob for channel 60 (continuously for at least one second).The output current must be limited in accordance with § 201.12.4.104 of standard EN IEC 60601-2-10. Device 100 displays the remaining session time in minutes. It displays the EMS output level at 100% of the maximum output level in a bar graph. Device 100 warns when the output current exceeds a specified safety value. For example, "OVERCURRENT" is displayed and flashes. It disappears when the current is reduced, but the system shuts down within three seconds if no action is taken. To continue the session, the system must be switched off and then switched back on. Device 100 warns when the electrode or electrode cord is not correctly connected during the session. Device 100 has audible indicators to: - signal the end of the timer. It has error code indicators: Insufficient voltage on the power supply; excessive voltage on the power supply; circuit problem.

[0144] The 100 stimulation device is used according to the procedure which includes the following steps: - connect power adapter - connect electrode cords 1 - connect electrodes 1 - position electrodes 1 on user skin area - turn unit on (ON / OFF) - select treatment duration - gradually increase the output energy (intensity) to reach the appropriate value - wait for the programmed time to end (stop) - turn off device - remove electrodes 1 - unplug and store the components.

[0145] The 100 stimulation device complies with the applicable EU zone safety standards (see regulatory framework "Regulatory framework _HTC_EMS_V1 2021-12-22") and has a CE marking according to the applicable EU zone regulations (see regulatory framework).

[0146] According to other features of the stimulation device 100 of the invention, the RFID software 30 allows the conductive TPE electrodes 1 to be powered according to the patient's body size. The device 100 includes jack-type connectors for four identical and interchangeable stimulation cables 12, each of which connects four electrodes 1 of the same size via banana plugs (1 cable = 2 electrodes 1). The stimulation cables 12 have the following lengths: a minimum length of 1.20 m to 1.50 m to reach the lower and upper limbs and are compatible with electrodes 1. The electrodes 1 are equipped with an RFID reader 2, i.e., with a scanner for each device. All of this is connected to the control unit. These electrodes 1 are sized to adapt to the patient's body size.The current is uniform but adapts to the morphology, namely that depending on the patient's build, with identical electrodes 1 which have a lipolysis function, the results may be different.

[0147] To address these variations in results, electrodes 1 (connected to the box) are of different sizes and the frequency is adapted in relation to the electrodes 1 in question to succeed in obtaining a standard effect regardless of the patient.

[0148] The procedure for implementing the operating method below with a system typically conforming to that described above includes the following steps: - connect the power adapter; - select electrode 1; - connect the electrode 1 cables; - connect electrode 1; - position electrode 1 on the user's skin area; - switch the unit on (ON / OFF); - select the treatment duration; - gradually increase the output energy (intensity) to reach the appropriate value; - wait for the end of the program time (off); - switch off the device; - remove electrode 1; - unplug and store the components.

[0149] Compliant with applicable EU zone safety standards (see regulatory framework "Regulatory Framework _HTC_EMS_V1_2021 -12-22")

[0150] Have a CE marking in accordance with the applicable EU zone regulations (see regulatory framework).

[0151] The problem of weight loss without muscle mass control and maintenance: The management of overweight and obesity aims at several objectives: weight loss, then weight stabilization. Indeed, electrostimulation can be considered a new approach to maintaining muscle mass during the calorie restriction phase. The issue is that currently, there is no medical device for stable (non-moving) electrostimulation suitable for overweight or obese individuals. The problem is that physical activity does not lead to muscle loss; it only results in fat loss.

[0152] The invention overcomes the contraindications for sports for an obese user and the phases of caloric restriction. EMS

[0153] The most effective approach is a combination. Weight training requires carrying additional weight beyond the body's natural weight and engaging in intense activity.

[0154] The advantage of EMS is that it avoids the constraints of classic muscle activity.

[0155] Fatty muscle doesn't have the same power as quality muscle with fast-twitch fibers. Hence the need to maintain all muscle groups.

[0156] The invention relates to the field of muscle strengthening.

[0157] It's not just the volume, but the quality of the muscle, achieved through intense and consistent muscle strengthening, that is effective. EMS is measurable. Walking has no beneficial effect because the body is designed for walking. The benefit begins with the level of intensity. To obtain this benefit, one must push themselves to their limits; the patient can no longer keep up.

[0158] Skin maintenance. It's a matter of epithelial tissue. Contraction oxygenates the tissues. It's a drainage process.

[0159] The physical culture installation according to the invention comprises at least one piece of equipment or a muscle exercise machine or an exercise mat, and comprising at least one electrostimulation device 100 according to the description above.

[0160] The relaxation installation according to the invention comprises a seat or a layer to support the user, and includes at least one electrostimulation device 100 as described above. Although the invention has been described in connection with particular structures, it is by no means limited to them, and numerous embodiments are possible; it will be evident that it can be modified in many ways. Such variations should not be considered as departing from the spirit of the invention. All modifications that would be obvious to a person skilled in the art are intended to be included within the scope of the following claims.

[0161] The combinations of the different embodiments shown in the figures or described above do not fall outside the scope of the invention. Reference signs

[0162] 1. Electrodes 2. RFID Chip 3. Antenna 10. Generator 11. Excitomotor Channels 12. Cable 20. Computer 30. Software 40. Memory 50. Carrier Structure 60. Intensity Adjustment Means 70. Humidification Means 100. Electrostimulation Device

[0163] The reference symbols inserted after the technical features mentioned in the claims are solely for the purpose of facilitating understanding of the latter and do not in any way limit their scope.

Claims

1. Electrostimulation device (100) arranged for electrostimulation on a user of heavy build, having a body mass index greater than 26 to 32 kg / m² 2 , a waist circumference greater than 108 cm, a mass greater than 100 kg, said electrostimulation device (100) comprising a plurality of electrodes (1), characterized in that said electrostimulation device (100) comprises a generator (10) controlled by a computer (20) and software means (30), said computer (20) comprising at least one memory (40) containing data relating to said user predefined by a prior examination, said generator (10) comprising a plurality of excitomotor channels (11), each attached to a cable (12) carrying a plurality of said electrodes (1), and being arranged to control the sending of simultaneous or separate excitation signals to the different excitomotor channels (11).

2. Electrostimulation device (100) according to claim (1), characterized in that each said cable (12) has a minimum length of 120 cm.

3. Electrostimulation device (100) according to claim 1 or 2, characterized in that at least one said electrode (1) comprises a conductive thermoplastic elastomer sheath, which comprises at least one RFID chip (2) arranged for the identification of said electrode (1).

4. Electrostimulation device (100) according to any one of the preceding claims, characterized in that at least one said supporting structure (50) is flexible and spongy, and includes humidification means (70).

5. Electrostimulation device (100) according to claim 4, characterized in thatsaid electrostimulation device (100) comprises at least one of the support structures (50) forming a belt or armband or sheath or sleeve, said at least support structure (50) being arranged to be put on a limb or the body of the user and to carry at least one said electrode (1) in immediate contact with the body of the user.

6. Electrostimulation device (100) according to any one of claims 1 to 5, characterized in that at least one said cable (12) carries an even number of said electrodes (1).

7. Electrostimulation device (100) according to claims 5 and 6, characterized in that at least one said support structure (50) includes a plurality of housings allowing diametrically opposed positioning of the two said electrodes (1) around a limb or the body of said user and / or includes inflation means for tightening it around the user.

8. Electrostimulation device (100) according to claim 5 and any one of claims 1 to 7, characterized in that at least one said supporting structure (50) includes means for holding in position around a limb or the body of said user, and at least one self-gripping fabric strap.

9. Electrostimulation device (100) according to any one of claims 1 to 8, characterized in that said generator (10) includes several means for adjusting the intensity (60), typically knobs, each arranged for controlling the intensity simultaneously on at least two said excitomotor channels (11), each said means for adjusting the intensity (60) being independent and adjustable independently of the other said means for adjusting the intensity (60).

10. Electrostimulation device (100) according to any one of claims 1 to 9, characterized in thatsaid generator (10) is arranged to deliver, in each said electrode (1), a current of intensity less than or equal to 100 mA and to manage, for each said excitomotor channel (11) at least 100 pulse trains of frequency between 80 Hz and 120 Hz separated temporally by phases without pulse.

11. Electrostimulation device (100) according to any one of claims 1 to 10, characterized in that Each of the said electrodes (1) has a larger surface area, arranged to come into contact with the user, which is less than or equal to 100 cm² 2 .

12. Electrostimulation device (100) according to any one of claims 1 to 11, characterized in that said electrostimulation device (100) includes a safety stop triggered by a timer limiting the operating time to 20 minutes, or by an action of the user.

13. Electrostimulation device (100) according to any one of claims 1 to 12, characterized in thatsaid generator (10) comprises at least eight said excitatory pathways (11) each connected to at least four said electrodes (1).

14. Physical culture installation, comprising at least one piece of apparatus or muscle exercise machine or exercise mat, and comprising at least one electrostimulation device (100) according to any one of claims 1 to 13 15. Relaxation facilities, comprising a seat or a layer to support the user, and comprising at least one electrostimulation device (100) according to any one of claims 1 to 13.

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